Provider Demographics
NPI:1760377089
Name:FAITH HEALTH GROUP LLC
Entity type:Organization
Organization Name:FAITH HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEETAKUMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:FOFANDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-249-2389
Mailing Address - Street 1:6005 MARY ANN LN
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5429
Mailing Address - Country:US
Mailing Address - Phone:973-244-2480
Mailing Address - Fax:
Practice Address - Street 1:6005 MARY ANN LN
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-5429
Practice Address - Country:US
Practice Address - Phone:973-244-2480
Practice Address - Fax:973-629-1672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health